SOUTHEAST MISSOURI RESIDENTIAL SERVICES ISL
NPI 1598906372
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Poplar Bluff, MO
- Organization
- Community Based Residential Treatment Fa...
About SOUTHEAST MISSOURI RESIDENTIAL SERVICES ISL
This page provides the complete NPI Profile along with additional information for Southeast Missouri Residential Services Isl, a provider established in Poplar Bluff, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1598906372 assigned on March 2009. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Southeast Missouri Residential Services Isl. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)
- NPI
- 1598906372 Verify this NPI
- Provider Legal Name
- STATE OF MISSOURI
- Other Organization Name
- SOUTHEAST MISSOURI RESIDENTIAL SERVICES ISL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2351 KANELL BLVD POPLAR BLUFF, MO 63901
- Location Phone
- (573) 840-9374
- Mailing Address
- 1706 E ELM ST JEFFERSON CITY, MO 65101
- Mailing Phone
- (573) 751-3398
- Mailing Fax
- (573) 526-4560
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-09-2009
- Last Update Date
- 09-03-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Reviews for SOUTHEAST MISSOURI RESIDENTIAL SERVICES ISL
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598906372, enumerated as an "organization" on March 09, 2009.
The provider is located at 2351 KANELL BLVD POPLAR BLUFF, MO 63901 and the phone number is (573) 840-9374.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
